| NPI | 1033741665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 251761) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN138584) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2021-03-05 |